Indiana
Professional Licensing Agency
Katherine Therese Nichols
Controlled Substance Registration - Dentist
License number
12011477B
Date granted
07/18/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Carmel Pediatric Dentistry, 12188-A N. Meridian St. Suite 365, Carmel IN 46032
indianalicensing.org
ID 27545458
LAST UPDATED 2024-04-05 03:17:49 UTC
LAST UPDATED 2024-04-05 03:17:49 UTC
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